THOMPSON v. NASON HOSP. Case Brief

Supreme Court of Pennsylvania1991
527 Pa. 330 591 A.2d 703 Torts Health Law Agency and Partnership

Complete case briefs with LSD+

Every LSD.Law brief pairs a full IRAC analysis with opinion summaries at three levels of depth, written by a team of Harvard Law and MIT graduates - a quick synopsis when you are pressed for time, the complete reasoning when you need to go deep.

Adaptive Case Views

Toggle between Flash, Standard, and Expanded. Get what you need, when you need it.

Exam-Ready IRAC Format

We deliver the precise structure professors look for in exam answers.

Complex Cases, Clarified

We break down dense legal reasoning into something digestible, helping you grasp core concepts.

Case Brief Summary & Legal Analysis

4 min read

tl;dr: A patient suffered permanent paralysis after treatment by an independent contractor physician at a hospital. The court adopted the doctrine of corporate negligence, holding that the hospital itself has a direct, non-delegable duty to ensure the quality of patient care and could be liable for its own breach.

Legal Significance: This case established the doctrine of corporate negligence for hospitals in Pennsylvania, creating a direct, non-delegable duty for hospitals to oversee patient care, independent of liability for the actions of their employees or agents.

Case Facts & Court Holding

Key Facts & Case Background

Linda Thompson was admitted to Nason Hospital’s emergency room after a car accident. Hospital staff were informed she was taking the anticoagulant Coumadin and had a pre-existing heart condition. Dr. Schultz, a general practitioner with staff privileges but not a hospital employee, attended to her. Over the next three days, Thompson’s neurological condition progressively deteriorated. Hospital records, with notes from multiple physicians including a staff ophthalmologist, documented her worsening symptoms, including a positive Babinski sign (indicating a brain problem), increased bleeding, and eventual paralysis on her left side. The plaintiff alleged that despite these clear signs of a developing neurological crisis potentially related to her anticoagulation therapy, the hospital failed to ensure proper consultation or intervention as required by its own rules. Thompson was eventually transferred to another facility but was left with permanent paralysis from a large intracerebral hematoma. Nason Hospital moved for summary judgment, arguing it could not be liable for the acts of Dr. Schultz, an independent contractor. The trial court granted the motion, but the Superior Court reversed, prompting this appeal.

Court Holding & Legal Precedent

Issue: Can a hospital be held directly liable under a theory of corporate negligence for failing to oversee the quality of care and enforce its policies, even when the alleged malpractice was committed by an independent contractor physician?

Yes. The court adopted the theory of corporate negligence for hospitals and Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat. Duis aute irure dolor in reprehenderit in voluptate

Read the full analysis

The complete holding, rule, and analysis for this case are available to LSD+ subscribers.

Start 14-Day Free Trial

IRAC Legal Analysis

Premium Feature Unlock

About IRAC analysis

IRAC (Issue, Rule, Analysis, Conclusion) is the structure professors expect in exam answers. Each LSD.Law brief states the issue, the governing rule with citations, the court's application of that rule, and the conclusion - the same reasoning pattern you will use on exams and in practice.

Legal Issue

Can a hospital be held directly liable under a theory of corporate negligence for failing to oversee the quality of care and enforce its policies, even when the alleged malpractice was committed by an independent contractor physician?

Conclusion

This decision significantly expanded hospital liability in Pennsylvania by establishing that hospitals Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut e

Legal Rule

A hospital owes a direct, non-delegable duty to its patients to provide Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat. Duis aute irure dolor in reprehenderit in voluptate velit esse cillum dolore eu fugiat nulla pariatur. Excepteur sint occaecat cupidatat non proident, sunt in culpa qui officia deserunt mollit anim id est laborum. Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat. Duis au

Legal Analysis

The Supreme Court of Pennsylvania formally adopted the doctrine of corporate negligence, Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat. Duis aute irure dolor in reprehenderit in voluptate velit esse cillum dolore eu fugiat nulla pariatur. Excepteur sint occaecat cupidatat non proident, sunt in culpa qui officia deserunt mollit anim id est laborum. Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat. Duis aute irure dolor in reprehenderit in voluptate velit esse cillum dolore eu fugiat nulla pariatur. Excepteur sint occaecat cupidatat non proident, sunt in culpa qui officia deserunt mollit anim id est laborum. Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat. Duis aute irure dolor in reprehenderit in voluptate velit esse cillum dolore eu fugiat nulla pariatur. Excepteur sint occaecat cupidatat non proident, sunt in culpa qui officia deserunt mollit anim id est laborum. Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et

Flash-to-Full Case Opinions

Flash Summary

  • Pennsylvania officially adopts the doctrine of corporate liability for hospitals. -
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat. Duis aute irure dolor in reprehenderit in voluptate velit esse cillum dolo

Read the full analysis

The complete holding, rule, and analysis for this case are available to LSD+ subscribers.

Start 14-Day Free Trial